103808038-6-26-2019-04-CC-SNAO-BDHSYX-20190626141816

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 103808038
Report Date: 06/26/2019
Date Signed: 06/26/2019 02:21:58 PM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1310 E. SHAW AVE,
FRESNO, CA 93710

FACILITY NAME:	DERMER'S CREATIVE CARE TOO		FACILITY NUMBER:	103808038
ADMINISTRATOR:	DERMER, SANDRA SUE		FACILITY TYPE:	830
ADDRESS:	8855 N. CHESTNUT		TELEPHONE:	(559) 325-6913
CITY:	FRESNO	STATE: CA	ZIP CODE:	93720
CAPACITY:	22	CENSUS: 17	DATE:	06/26/2019
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME BEGAN:	07:45 AM
MET WITH:	Sandra Dermer		TIME COMPLETED:	02:30 PM

NARRATIVE
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25	On 6/26/2019 at 7:45 AM, Licensing Program Analysts (LPAs), Stephanie Navarro and Juvenal Moctezuma, conducted an unannounced annual/random inspection. LPAs were greeted by Staff #1 and began the tour inside/outside. An hour later, Director Sandra Dermer arrived and met with LPAs. LPAs toured the facility, both indoors and outdoors. There are two infant classrooms in operation Room #0 and Room #1. There are no firearms present at this school. All children are under supervision, including visual supervision, of a teacher at all times. Teacher/child ratios are maintained and adequate supervision is being provided during this visit. The facility ensures that each infant is never left unattended, and under the direct visual supervision of a staff person at all times. Disinfectants, cleaning solutions and other dangerous items shall be inaccessible to children. No poisons were observed during today’s inspection. All materials and surfaces accessible to children are toxic free. While in use, infant changing tables are placed within arm's reach of a sink. All floors are clean and safe. The facility has age-appropriate furniture and equipment including, but not limited to, cribs, cots, or mats. The facility has sufficient infant napping equipment. LPAs observed two baby bouncers in the infant sleeping area. The facility has indoor activity space for infants that is physically separate from space used preschool program. LPAs observed in the classroom solid waste storage vessels, including moveable bins, have tight-fitting covers on, are in good repair. Drinking water is available both indoors and outdoors. LPAs observed infant bottles found in the refrigerator that, according to the infant teacher, had been brought by parent(s) are not labeled with a current date. All kitchen, food prep, and storage areas are clean, free of litter, rubbish, and rodents/vermin. All foods/beverages capable of rapid spoiling are stored in covered containers at 45 (F) or less. Menus are posted at least one week in advance, where an authorized representative can view them. There is a working fire extinguisher, carbon monoxide, smoke detector, and adequate heating and ventilation for safety and comfort. Fire drills are conducted and documented every six months. LPAs observed playground equipment is in good condition, free of sharp, loose, or pointed parts. LPAs reviewed 10 children files that contained required documents and immunization records. Continued 809-D

SUPERVISOR'S NAME: Susie Fanning	TELEPHONE: (559) 650-7980
LICENSING EVALUATOR NAME: Stephanie Navarro	TELEPHONE: (559) 243-4588
LICENSING EVALUATOR SIGNATURE:	DATE: 06/26/2019

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/26/2019

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)

Page: 1 of 4

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1310 E. SHAW AVE,
FRESNO, CA 93710

FACILITY NAME: DERMER'S CREATIVE CARE TOO	FACILITY NUMBER: 103808038
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 06/26/2019

DEFICIENCIES & PLANS OF CORRECTION (POCs)

Type B

Section Cited

CCR

101439(d)(2)

Physical Plant - Infant Care Center Fixtures, Furniture, Equipment and Supplies

(d) Swings, playpens and all such equipment and furniture shall be assembled or installed according to the manufacturer's instructions, and shall be maintained in good repair and safe condition. (2) A baby walker shall not be allowed on the premises of a child care center in accordance with Health and Safety Code Section 1596.846. This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	Based on observation and interview, the licensee did not comply with the section cited above. LPAs observed two baby bouncers in the infant sleeping area. This poses a potential health, safety or personal rights risk to persons in care.
	POC Due Date: 07/17/2019
	Plan of Correction
1 2 3 4	Director agreed to submit a written plan on how she will ensure bouncers will no longer be use or placed in the facility to Community Care Licensing Fresno Regional Office by 7/17/2019.

Type B

Section Cited

CCR

101419.3(a)

Children Records - Modifications to Infant Needs and Services Plan

(a) The written infant needs and services plan shall be updated at least quarterly, or as often as necessary to assure its accuracy. This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	Based on observation and record review, the licensee did not comply with the section cited above. LPAs observed infant room #1 do not have the written infant needs and services plan updated at least quarterly when transitioned from infant room #0. This poses a potential health, safety or personal rights risk to persons in care.
	POC Due Date: 07/17/2019
	Plan of Correction
1 2 3 4	Director agreed to submit a written plan listing procedures of updating the needs and services plan when transitioning from Room #0 to Room #1 to Community Care Licensing Fresno Regional Office by 7/10/2019.

Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.

SUPERVISOR'S NAME: Susie Fanning	TELEPHONE: (559) 650-7980
LICENSING EVALUATOR NAME: Stephanie Navarro	TELEPHONE: (559) 243-4588
LICENSING EVALUATOR SIGNATURE:	DATE: 06/26/2019

I acknowledge receipt of this form and understand my appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/26/2019

LIC809 (FAS) - (06/04)

Page: 2 of 4

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1310 E. SHAW AVE,
FRESNO, CA 93710

FACILITY NAME: DERMER'S CREATIVE CARE TOO	FACILITY NUMBER: 103808038
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 06/26/2019

DEFICIENCIES & PLANS OF CORRECTION (POCs)

Type B

Section Cited

CCR

101427(j)

Food Service - Infant Care Food Service

(j) Bottles, dishes and containers of food brought by the infant's authorized representative shall be labeled with the infant's name and the current date. This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	Based on observation and interview, the licensee did not comply with the section cited above. LPAs observed infant bottles found in the refrigerator that, according to the infant teacher, had been brought by parent are not labeled with a current date. This poses a potential health, safety or personal rights risk to persons in care.
	POC Due Date: 07/26/2019
	Plan of Correction
1 2 3 4	Director agreed to have herself and all staff in infant room #0 and #1 watch the Community Care Licensing Video at www.ccld.childcarevideos.org on "Food Services Requirements for Child Care Center." Director agreed to print out the transcript and have all staff sign the transcript as proof to submit to Community Care Licensing Fresno Regional Office by 7/26/2019.

Section Cited


	Deficient Practice Statement
1 2 3 4
	POC Due Date:
	Plan of Correction
1 2 3 4

Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.

SUPERVISOR'S NAME: Susie Fanning	TELEPHONE: (559) 650-7980
LICENSING EVALUATOR NAME: Stephanie Navarro	TELEPHONE: (559) 243-4588
LICENSING EVALUATOR SIGNATURE:	DATE: 06/26/2019

I acknowledge receipt of this form and understand my appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/26/2019

LIC809 (FAS) - (06/04)

Page: 3 of 4

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1310 E. SHAW AVE,
FRESNO, CA 93710

FACILITY NAME: DERMER'S CREATIVE CARE TOO	FACILITY NUMBER: 103808038
	VISIT DATE: 06/26/2019

NARRATIVE

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The facility ensures that each infant has an Infant Needs and Services Plan and an individual feeding plan for each infant. LPAs observed infant room #1 do not have the written infant needs and services plan updated at least quarterly when transitioned from infant room #0. LPA Navarro observed 4 infant plans were not signed by the authorized representative.

Before working in a licensed child care facility, all individuals subject to a criminal record review have a clearance or exemption. Staff records contain appropriate, documentation of education credits. Per records review and interview, all staff have completed the AB1207 Mandated Reporter Training. At least one person trained in CPR and Pediatric first-aid is present when children are at the facility or at off-site activities. This facility’s hours of operation are 7:00 AM - 6:00 PM. Facility provides children a morning snack, lunch, and afternoon snack.

Incidental Medical Services (IMS) policy was discussed. Facility is not providing IMS services at this time. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Child Care Centers Sections 101173 and 101226. Facility is administering IMS and IMS Plan is on file. The following information regarding ADA was provided: US Department of Justice (USDOJ) toll-free ADA Information Line at (800) 514-0301 (voice)/ (800) 514-0383 (TTY) and link to publication: Commonly Asked Questions about Child Care Centers and the ADA, available at: http://www.ada.gov/childqanda.htm.

LPA & Director discussed the Community Care Licensing website, Lead Safety, and Mandated Reporter Training. LPA and Site Supervisor discussed new additions to the website that include the new PIN (Provider Information Notification) and information for providers including the Quarterly Update that informs licensees of new legislation and regulations. Please follow these steps go to http://www.cdss.ca.gov/, click on “information and resources” click “Community Care Licensing” Click “quarterly updates” click “Child Care advocates program” and register to PIN.

Per Chapter 1, Division 12, Title 22 of the California Code of Regulations the following deficiencies are cited on see LIC 809-D. Appeal Rights provided during inspection. Exit interview was conducted with Director, Sandra Dermer.

THIS REPORT SHALL BE MADE AVAILABLE TO THE PUBLIC UPON REQUEST. LIC 9213 NOTICE OF SITE VISIT FORM IS REQUIRED TO BE POSTED FOR 30 DAYS.

SUPERVISOR'S NAME: Susie Fanning	TELEPHONE: (559) 650-7980
LICENSING EVALUATOR NAME: Stephanie Navarro	TELEPHONE: (559) 243-4588
LICENSING EVALUATOR SIGNATURE:	DATE: 06/26/2019

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/26/2019

LIC809 (FAS) - (06/04)

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